National Provider Identifier [NPI]: |
1083685069 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
ALISON |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4 SUNSET WAY |
Street Address 2 Of The Provider |
BLDG D |
City Of The Provider |
HENDERSON |
Zip Code Of The Provider |
890142015 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
163 |
Number Of Services |
12052 |
Number Of Medicare Beneficiaries |
1832 |
Total Submitted Charge Amount |
1630394.7 |
Total Medicare Allowed Amount |
492022.92 |
Total Medicare Payment Amount |
364066.59 |
Total Medicare Standardized Payment Amount |
373211 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
9737 |
Number Of Medicare Beneficiaries With Drug Services |
282 |
Total Drug Submitted ChargeAmount |
6263.45 |
Total Drug Medicare AllowedAmount |
4542.18 |
Total Drug Medicare PaymentAmount |
3288.36 |
Total Drug Medicare Standardized Payment Amount |
3288.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
156 |
Number Of Medical Services |
2315 |
Number Of Medicare Beneficiaries With Medical Services |
1832 |
Total Medical Submitted Charge Amount |
1624131.25 |
Total Medical Medicare Allowed Amount |
487480.74 |
Total Medical Medicare Payment Amount |
360778.23 |
Total Medical Medicare Standardized Payment Amount |
369922.64 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
285 |
Number Of Beneficiaries Age 65 to 74 |
970 |
Number Of Beneficiaries Age 75 to 84 |
454 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
1181 |
Number Of Male Beneficiaries |
651 |
Number Of Non Hispanic White Beneficiaries |
1355 |
Number Of Black or African American Beneficiaries |
186 |
Number Of AsianPacific Islander Beneficiaries |
90 |
Number Of Hispanic Beneficiaries |
155 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1560 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
272 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1486 |